FAAA' rth D c r.. R. - ASO · 9/25/2006 N/A by engine model subsequent loss of airplane control 19ATP

j ''<~~r· ..~ ..

FAAA' rth"... D".. f_. - - c r.. R . d. -- -- . Content ReVISion 7/29/2009 File 10 N43097 Aircraft Registration. N43097

FAA AD Number Effective Date Description

Manufacturer Cirrus Design Corp

Category Airirame

2001-25-03 12/17/2001

To detect and replace understrength nvets in the elevator and rudder, which could result In fallure,contd

©ATP

2002-05-05 3/19/2002

(0ATP Superseded by 2002-24-08

-DATP

2002-21-02 11/8/2002

(0ATP To prevent loss of the self- locking retaining nut on the roll and yaw tnm cartndges dunng flight, whlch,contd

10ATP

2002-24-08 1/24/2003

(0ATP To prevent failure of the Cirrus Auplane Parachute System (CAPS) activation system m an emergency,contd

10ATP

2005-17-19 C 10/13/2005

<9ATP To prevent the crew seats from foldmg forward dunng emergency landing dynamic loads with consequent,contd

©ATP

2006-07-06 5/11/2006

<9ATP To detect, correct, & prevent damage to the fuel Ime and wire bundles, which could result m fuel leaks

'.9ATP f9ATP

Complied Date Time

Model SR20

5/5/2006

see compliance

5/5/2006

HM3204

Amendment Number Method of Compliance/Applicability

N/A by SIN

Superseded by 2002-24-08

N/A by SIN

N/A by SIN

both SIB's previously CIW 2X-25-08 CIW 12114/04 hm853 2X-25-06 CIW 4/28105 h.m 193 7

CIW by SlB2X-28-04R1 fule Ime chafmg by installing kit PN#70133-001

Once or

Recur

Once

©ATP Once

©ATP Once

©ATP Once

©ATP Once

©ATP Once

©ATP

lDATP Pnnted 7/9/2009 80007AM

Next Due Date Time

Part #:

Serial #:

N/A

Signature

N/A

Signature

N/A

Signature:

N/A

Signature

N/A

Signature

N/A

Signature

Paqe 1 of 7

1. Facility 3. Cert. Num. 2. Cert. Type 4. Author. By

1 Middle Keys Aircraft Servio

2A&P

3262858070

4 Richard Epler

1 Middle Keys Aircraft Servlc

2A&P

3262858070

4. Richard Epler

1. Middle Keys Aircraft Servlc,

2A&P

3262858070

4. Richard Epler

1. Middle Keys Aircraft Servlc

2A&P

3262858070

4. Richard Epler


2A&P

33104910

4. Richard Epler


2A&P

33104910

4. Richard Epler

"'-.:..-./

FAA A" rth"--- - -- Direct"- - - c- - - -- r---- - - -R--- - d Content ReVISion 7/29/2009 File 10 N43097

CompliedFAA AD Number DateDescriptionEffective Date Time

Manufacturer Category Model

Cirrus Design Corp Allirame SR20

2006-19-10 5/5/2006 folding forward dUring emergency To prevent the crew seats from

both S8's have been CIW S82X-25-06R3 on TT 193710/24/2006 landing with dynamic loads with 4/28105 TT193 7and consequent,contd and S82X-25-06 was CIW 5/5/06 T T 3204TT3204

\9ATP lfJATP 5/5/2006

overheating damage to the brake To detect, correct, & prevent2006-21-03

CIW by S82X-32-14R 1 by kit TT320411/17/2006 caliper piston O-nng seals, which PN#70144-001 could,contd

<9ATP«:JATP 5/25/2007

fasteners of the CAPS, which could To correct pick-up collar support2007-14-03

CIW by S8A2x-95-1 OR2HM49948/16/2007 result In the premature separatalon ,contd

«:JATP lfJATP 1/18/2008

3/11/2008

To prevent the possibility of 2008-03-16 Jamming of the rudder-aileron CIW by S/827-14R3 by kit PN#70197-001 HM.620 1 IIlterconnect system, which may result In loss of ,contd

«:JATPlfJATP To detect and correct leaks In the 7/9/2009 exhaust system, which could result

2008-11-18 CIW by IIlstalllng new style muffler and TT 777.37/7/2008

In exhaust gases leaking IIlto the shroud re-inspect every 100hrs cabln,contd

l';)ATP rsJATP To prevent In-flight failure of the cabin door, which could result in

2008-14-13 N/A by SIN 8/14/2008

door separatIOn from the airplane

lfJATPi9ATP

(iJATP Printed 7/9/2009


80007AM

Aircraft Registration. N43097

Once Next Due 1. Facility 3. Cert. Num. or Date 2. Cert. Type 4. Author. By

Recur Time

Part #:

Serial #:

Once N/A 1 Middle Keys Aircraft Servic

2A&P

33104910

4. Richard Epler

©ATP Signature


2A&P

33104910

4. Richard Epler

©ATP Signature

Once N/A 1. Middle Keys Aircraft Servic

2A&P

3 3104910

4. Richard Epler

©ATP Signature


2 A&P

33104910

4. Richard Epler

COATP Signature

Recur 8773 1. East Coast AVlaton Service

2 A&P

3 3104910

4 Richard Epler

©ATP Signature

Once N/A 1 East Coast AVlaton Service

2 A&P

33104910

4 RIchard Epler

CSJATP Signature

Pa!1e 2 of 7

- - - --

i \ ......... /J ......"'''...-1....·'''

FAA A" rth" c-- -- - - --_ ... ---- Direct". . - - ..... ..-- r.. --- .. -- - R- - - d_Content ReVISion 7/29/2009 File 10 N43097 Aircraft Registration N43097

Complied Once Next Due 1. Facility 3. Cert. Num.Amendment Number Date

FAA AD Number or Date 2. Cert. Type 4. Author. By

Time Description Method of ComplianceJApplicabilityEffective Date

Recur Time

Manufacturer Category Model Part #:

Teledyne Continental Engine 10-360-ES Serial#: 357663

88-03-06 Once N/ATO PREVENT POSSIBLE LOSS 1. Middle Keys Aircraft Serv/c OF ENGINE OIL AND N/A by Part not Installed 4/15/1988 2A&P SUBSEQUENT ENGINE FAILURE

3262858070

4. Richard Epler

©ATP Signature

91-19-03

\0ATP 0dATP Once N/ATO PREVENT OPERATION WITH 1. Middle Keys Aircraft Servic

COLLAPSED OIL FILTER N/A by part not Installed 9/29/1991 2A&P ELEMENTS, WHICH CAN RESULT

3262858070IN LOSS OF OIL PRESSURE, 4. Richard Epler CONTD

Signature:

92-02-20 E R1

©ATPf0ATPC0ATP Once N/ASuperseded by 92-04-09 1. Middle Keys Aircraft Servlc

2/3/1992 superseded by 90-04-09 2A&P

3262858070

4 RIchard Epler

©ATP Signature:

92-04-09

(SJATP f0ATP N/ATO PREVENT ENGINE FAILURE Once 1. Middle Keys Aircraft Servlc

CAUSED BY FAILURE OF THE N/A by SIN 6/22/1993 2A&P ROCKER SHAFT HOLD DOWN

3262858070STUD 4 Richard Epler

©ATP Signature:

93-10-02

<0ATPC0ATP Once N/ATO PREVENT AN ENGINE 1. Middle Keys Aircraft Servlc

FAILURE DUE TO A MISSING N/A by manufacture date 8/12/1993 2.A&P CYLINDER VALVE RETAINER KEY

3262858070

4. Richard Epler

Signature

97-26-17 C

<0ATP ©ATP\0ATP TO PREVENT CRANKSHAFT Recur N/A 1 Middle Keys Aircraft Servlc FAILURE AND SUBSEQUENT N/A by manufacture date 1/23/1998 2A&P ENGINE FAILURE

3262858070

4 Richard Epler

\0ATP uATP ©ATP Signature

iDATP Printed 7/9/2009 80007AM Paqe 3 of 7

FAA A" rth" D" f ~.

c r R d.- -- -- ------ --------- - - - -- ------- -------Content ReVISion 7/29/2009 Flie ID. N43097

FAA AD Number Complied

Effective Date Description Date Time

Manufacturer

1dedyne Continental

2000-08-51 E 4/28/2000

Category

Englfle

Superseded by 2000-23-21

Model

IO-360-ES

©ATP

2000-11-51 E 6/7/2000

'SJATP Super seded by 2002-13-04

«;jATP

2000-23-21 12/12/2000

'SJATP To prevent crankshaft connectlflg rod Journal fracture, which could result In total englfle power,contd.

i9ATP

2002-13-04 C 7/12/2002

,OATP

«dATP To prevent engine failure and loss of control of the airplane due to migration of the magneto Impulse,contd

'SJATP

Amendment Number

Method of Compliance/Applicability

superseded by 2000-23-21

superseded by 2002-13-04

Aircraft Registration N43097

Once Next Due 1. Facility 3. Cert. Num or Date 2. Cert. Type 4. Author. By

Recur Time

Part #:

Serial #: 357663

N/AOnce

©ATP Signature

Once N/A

©ATP Signature:

superseded Once N/A

N/A by manufacture date

©ATP Once

Signature:

N/A

©ATP Signature


2A&P

3262858070

4. Richard Epler


2A&P

3262858070

4. Richard Epler

1. Middle Keys Aircraft Servic

2A&P

3262858070

4. Richard Epler


2A&P

3262858070

4. Richard Epler

C0ATP Printed 7/9/2009 80007AM PaQe 4 of 7

."--../ '-"JFAA A" rth"--------------- Direct"- - - c- - - - - r- - --- - R--- - - d

Content RevIsion 7/29/2009 File ID N43097 Aircraft Registration N43097

Complied Next DueOnce 1. Facility 3. Cert. Num.

Effective Date

Amendment NumberFAA AD Number Date DateorDescription 2. Cert. Type 4. Author. By Time

Method of Compliance/Applicability Time

Manufacturer Category Model Part #:

HdrtLel1 Propeller Propeller BHC-J2YF-1 Serial #: EF347B

70-02-01

Recur

Superseded by 73-10-03 Once N/A 1. Middle Keys Aircraft ServlG 111/1970 2A&P

3262858070

4. Richard Epler

I.0ATP <0ATP ©ATP Signature

70-16-03 R Superseded by 77-12-06 Once N/a 1 Middle Keys Aircraft ServlG 1/1/1970 2A&P

3262858070

4. Richard Epler

<0ATP <0ATP Signature:

73-10-03

©ATP Superseded by 77-12-06 N/AOnce 1. Middle Keys Aircraft Servlc

1/1/1973 2A&P

3262858070

4. Richard Epler

<8ATP <siATP ©ATP Signature

74-15-02 Superseded by 77-12-06 Once N/A 1. Middle Keys Aircraft Servlc 111/1974 2A&P

3262858070

4 Richard Epler

\0ATP <siATP Signature

75-07-05

©ATP Superseded by 77-12-06 N/AOnce 1 Middle Keys Aircraft Servic

5/1/1977 2A&P

3262858070

4 Richard Epler

I.0ATP <0ATP Signature

77 -12-06 R(2)

©ATP Superseded by 2002-09-08 Recur N/A 1. Middle Keys Aircraft Servlc

12/2111977 2A&P

3262858070

4. Richard Epler

'!')ATP <0ATP ©ATP Signature

I9ATP Prrnted 7/9/2009 80007AM Paqe 5 of 7

, .. ,' ..•./

FAA A" h" D" c r-- -- -- ------- - - --- - -- - - - ---- ------ R-------d Content RevIsion 7/29/2009 File ID N43097

CompliedFAA AD Number DateDescription Time

Manufacturer Category Model

Hal1zell Propeller Propeller BHC-J2YF-1

2001-07-03 C

Effective Date

To prevent propeller failure of the propellers returned to service by 6/4/2001 BASCO, & pOSSible loss of airplane control

(0ATP(0ATP To prevent failure of the propeller hub resultrng from cracks, that can

2001-23-08 N/A12/24/2001

cause blade separation & subsequent,contd

<£JATP<ScJATP To prevent failure of the propeller blade from fatigue cracks in the

2002-09-08 N/A6/13/2002

blade shank radiUS, which can,contd.

(0ATP\[)ATP To prevent In-flight propeller blade separatron resultlrlg in airframe and

2003-01-03 N/A by sIn1/23/2003

engille damage, & possible loss of the airplane

~)ATP <£JATP 5/5/2006To prevent blade failure that could 2005-14-11

result In separation of a propeller 8/17/2005 blade and loss of control of the california propeller airplane

(fcJATP ©ATP To prevent failure of the propeller hub causing blade separatron and

2006-18-15 N/A by engine model 9/25/2006

subsequent loss of airplane control

<9ATP19ATP

vATP Pnnted 7/9/2009

Amendment Number

Method of Compliance/Applicability

N/A by not return to service basco

N/A by not returned to service by southern

80007AM

Aircraft Registration N43097

Once Next Due 1. Facility 3. Cert. Num. or Date 2. Cert. Type 4. Author. By

Recur Time

Part #:

Serial #: EF347B


2A&P

3262858070

4. Richard Epler

Signature

Recur

©ATP N/A 1 Middle Keys Aircraft Servic

2A&P

3262858070

4. Richard Epler

©ATP Signature:

Once N/A 1. Middle Keys Aircraft Servlc,

2A&P

3.262858070

4. Richard Epler

©ATP Signature:

Once N/A 1. Middle Keys Aircraft Servlc

2A&P

3.262858070

4. Richard Epler

©ATP Signature:

Once N/A 1 Middle Keys Aircraft Servlc

2A&P

33104910

4 Richard Epler

©ATP Signature

Recur N/A 1. Middle Keys Aircraft Servic

2A&P

33104910

4. Richard Epler

©ATP Signature

Paqe 6 of 7

.-/FAA Airworthiness Directive Compliance Record

Content ReVISion 7/29/2009 File ID N43097 Aircraft Registration N43097I Next DueFAA AD Number Effective Date Description

Complied Date Time


Once or

Recur Date Time

1. Facility 3. Cert. Num. 2. Cert. Type 4. Author. By

Manufacturer

Hartzell Propeller

Category

Propeller

Model BHC-J2YF-1

Part #:

Serial #: EF347B

2007-26-09 1/30/2008

i9ATP

To prevent failure of the propeller blade from fatigue cracks m the alurTlInum blade shank radius, which can,contd

l£lATP

NIIA by date of MFG Once

©ATP

I I 1. Middle Keys Aircraft Servlc

2A&P

33104910

4. Richard Epler

I Signature

Manufacturer

Slick

Category

Magnetos

Model

6314

Part #:

Serial #:

00-00-06 R1 2/27/2006

~JATP

ATP AdVisory for Slick Aircraft Products listed In Teledyne Contmental Motors AD 2002-13-04 C

©ATP

N/A by SIN Once

©ATP

I N/A I 1 Middle Keys Aircraft Servlc

2A&P

33104910

4. Richard Epler

I Signature

IDATP Pnnted 7/9/2009 80007AM Paqe 7 of 7

DOSSIER DE VOL

Maintenance 13 ,.12 Defects

Defectuosites Rectification Signature

* ~......., -~

~~(~~43rl

~ LOG BOOK ENTRY V~

. ,-A'flb.~ 7/DATE: 6/3/200J

Uft\/ MAKE: CIRRUS TOTAL TIME 6,6 N# C-GYll':

/ ~j-;?' I:A 'It ~.17MODEL SR20 HOBBS TIME 6,6 SiN 1329 CIU~~ -~~~Dr: :II Removed exposed duuble sided [npe fr"111 RH sIde ,If ,./ LA l('<b37 ,

fuselage ne:'\\ to trailing eJge llf wing.Wllt fauing LAW. Cirrus SR~O Y'

l~l~7'A.M,M. 11-20, Set up #2 Garrllin G:-JS .\:;0 IA.W. CDC prl'cess spec 9040 I # 2 CD! checks good on gJOlU1CL --W~144-<6.3 71The ';'Vorl< I(jentlf,ed 8t>ovta \'\I9S p~rl0(mo;d In 9t.-corjanc,? wiln the curr"'Jnl r::~J<;liJl "':",I",',on 1/Reguls/ron and ';'YSS foom to be Bl/wvrlny for f9/urn It) s~rv,:'3 F.:;<r!,Njr>1 08id"S !3re on f,!~ ar

;~~~}(:A<6I6')t~/S &veney under,

.~~WKJ#: 060303-04 SIGNED V ':.<:: _Sf}

ClrrUJ DHlgn Flctory SU\1cr Ctll(l!'r, en.s.cr \1)~RS~~Y .... ~l~ Tllylor Clr ell', Dlllulh,!'.~ ~~811 "V::Z/' <-:-~,/_~ 'i)~37 f ., kc(~2f_'rI f.I* '?c_ I

/' /\\'<....> ~ee\. ~: .......... .l'lr..V t\l~ Z

1<2* +

S:; '2 rJ-:J

/1 LOG BOOK ENTRY DATE 060~OJ01·foJ l \Cl h-\- -

, O~\

J. t~l 1)",

MAKE CIRRlS TOTAL TIME 1-1,~ N# C GYZE 2<-.) MODEL SR20 HOBBS TIME 1-1,~ SiN 1329klQ.J - Vd:\( a\C'-s. ~

CIRRUS lJ r; S [ G ~

.-\d.1\lSted L H t1ap lAW cunlS A\[\I chapler :--~I). Rernll\'ed~\L\() - '(' 0blo;~ ..

and Replaced ": \'OROBS uldlca!llrp 11 l'll 1:-:3-111: s n l'l1 "'::-9 lAW, ClInLS :\,\1\1 chapler 31-,1). Rern"Yed emd Replaced \lel' Lllg.k \"'dule'-' == IA W CDC P S. 90JOI). Adillsted C,'-pUll" .;;;ern harrless lAW standard rnaintenace practices. l'PS checks gllc'd Sanded, preppell allli }1aJJlIed fwd half,'flwse wheel frnnn)1. r:\w CUTILS .-\.\1\1 'I·Jr). Tc'rqlled .\.xle "lit Il' 111 Ullbs [AW Clffil." A\I\1 3:--11. Rernlwed and Replaced ::: .\llemalN p Tl l1f1IJ~6~·1)1)1 S 11,'11 (1.1:118'8 I.-\W llmr- -\.\[\1 :1·.111

- -,:. ,\ ~ ",,-"".:.:-' -.:;' • ':' \., ~:: .~ l. 0 ;;,. '-, • ~ ',- c- -- I... --r _ - " 0, ,', . . - ,'>:1': • ':' ~ .... , . ',' :c' c, ,,' "e: ' 0" '""

:..~ "

",

?~,-r7{U~WIO# 060503~1 SIGNED

('lnll~ Df'sl~ r[JC!Ol\' )~r\1lt' CfOntPr, CRl)!: 'J.1)~R~!t~Y .j~l~ Tavlor ('II lip Duluth. \['; ~~~11

~

/i~~A(L~3/( ___ .~ -fJl-y,;l(, '.~ II

'/

k2::~/'" ~~&1¥J6n

~

.I c . (.f/1Lt [-4

•

'f-<fa 'I I /

I,' \ -, i t-: 'J\ '-'1 ~~ , '_ ',,' :\.;~ l,t<~ ~ [a.- cAl.../.. ~ :- r "u CvM , .':, :le. '._L~

"

. ~', ~ /. i i 1 " ,'! It i ~~ I i.. ~ . .\~ i r .. .;. ,/.. ,f~" ._~

El!fJ:;;;J~:;/\ ""'; . ""\:-. - -.1vJ"IO{ ""'~' ·r;-.1,.),1.' )-1 1.1'. ,1 ,( .~ .1 •• ___ ~

(j V '-Next scheduled maintenance: (Carry forward) Due: \h r/cycleS/date)' Prochalne maintenance planltiee' Echeance: (hlcyclesldale) • (Reporter)

DOSSIER DE VOL

Maintenance ,2 Defects '3 14

- Defectuosltes Rectification Signature

~ - ~/ LA- pc((!Yr 7"

.r"

-= "" ~ ~

-iff rt'C :lJy -/ J'\ ~ Iii let ,~ ~ !-o<:,-)

c.~ ,/J1 FC6'? s S7t-' ,

,-/'7~.Y) S.."..- "<C. ((1 5()( ?S

, J

~~ ______'-P ' /J;I ~? L [ ',' .y,~ ./

~'c;$Y /);) \ (>'0 /) (~;' ) ~'/ 7-? /);7 (((, ~ j

, ' r

~ "-'~~~ --,.--J-+:= ;J1({ f: ('\ ')/

/-----~' 11-=-r 7~, y'('!: (' fY

'"' C20, " f ), ) S(6 2 J'.j'

<. . ~-»)-E:- -, ~~. ) ,

r/j YL' ( / .f ~l'

~~" ).~ "C;:::::: -~ f \1. ( 'IY

L '.

No\ ember 22. 200.. TTSN' :;R,6 C-GYZE

A IO() HrlAnnual Inspection has been carried out per Cimls SRlO SCf\ice ~lanual

and CAR 625 Appendix B & C Engine oil and filter changed, PhillIps 20W50 XC installed \ lagneto I iming adjusted, Spark plugs cleaned and gapped Cabm heat control box repaired Brake flUid resel\oir sel\ iced, Al rframe battery sel\ Iced, LH static pressure \ elll unplugged, ELT re-certlfied b\ Kltchener Aero A\ lOnics and re-installed Compass s\\ung.

For \I' ill '()O E 120! 150J Stec~ ()()O O~ 2 I 065 ()'J7 127', 15R i

~~----r--~---+-------j

For S 21 () 2..() \V \00 I :no I

~j~e~,~lR~ 2\2 217 27"\, I():' \12I, I:

( ';,/\/ i7C--j Tc.·r2 IN' J-,1t <.... T C:: U ,"?t R '~u (,,:)~ ..,IJ K2 J ["he mallltenance descnbcd abO' e has been performed in accordance \\ Ith the :lppllcabk stanclirds of :l1l\\ortlllness J J (7 ...J

/,~,)~~ ,I ]hR7\5

,,-Next 3croeduled malrltenance' OLe' )hr cyc!es,oate)" !Carry forNard)

_ Pf')(:halne rnalllt8nance ~.,!311Ifiee: Ecroeance ',h, cycles/date)" (Reporter)

MAINTENANCE RECORD F.A.R.43.9

AGENCY ... CERTIFICATE NO. ~ DESCRIPTION OF WORK PERFORMEDAIRCRAFT TIME DATE Of WORK PERFORMED/RETURNED TOSERVICli lOR APPROVED DATA USED IN SERVICECOMPLETION

LOG BOOK ENTRY DATE: 6/3/2003

~ Nt: C-GYZE MODEL: SR20 HOBBS TIME: 6.6 SIN: 1329 MAKE: CIRRUS TOTAL TIME: 6.6

%~Il!l' ~ ft Removed exposed double sided tape from RIH side of fuBelage next to trailing edge of wingroot fairing lAW. Cirroll SR20 A.M.M 12.20. Set up #2 Gatrnin GNS 420 LA. W. CDC process spec. 90401 # 2 COl checks good on groW1Ct

The wor~ /fJenrl/ted abolle WBS p&tformed In llCeordBnce wltn the currenr Federal AVIatIOn Regulellon Bnd W86 found to be EIIrworthy for return to servc'3 Perrmenr derails are OIl Me 81 this agency under, ~. _~_

WIO#: OtJ0303.Q4 SIGNED.1~~~==~c.::..~:..:..--= --=::::::.===-Clrnu DOlIII' FICtOry 8.nlee Center, C'R!* .\'tlSRIS!!y., 4!1! Taylor Clrtl•• DuMb, M!'! ~1

LOG BOOt< ENTRY DATE: 060!503-O1 MAKE: CIRRUS TOTAL TIME: 14.! N#:C-GVZE MODEL: SR20 HOBBS TIME: 14.! SIN: 1329 ~

ap .E~\'MI Ad"'~-"UHfl~1IlI""" IAW CU'1U8 AMM chapter 27-S0, Removed and Replaced #2 VORIOBS indicator pin on 12723-102 sin on K2279 lAW cirroIl AMM chapter )4·SO. Removed and Replaced MCU Logic Module lAW CDC p,g, 90300, Adjusted co-pilots 51. harness lAW standard maintmace practices, opi checks good. SlWIded, prepped, and painted l\vd halfofnole wheel fairing lAW cimJI AMM Sl·30. Torqued Axle Nut to 40 in/lbIIAW cirroIl AMM 32-41, Removed IWId Replaced #2 AlternBlor pin on 13S6S-001 sin on 04318S8 lAW cirrus AMM 24·)0.

The wor~ J(Jenttfted abolle WtIS peJ10rmecJ In sceor/1ance with rhe current Federal AVietlon RegulatIOn and wss found to be ellworthy lor ,.turn to serv/Cfl Pertmen' detEliI a,. on Me et thiS agency undel,

WIO#: 080503-41 SIGNED~~~~L(!tJ~~=--Clrrut DellII' Ftttorr Benlei Center. CRS* YD~, 4!l1! TIJ'ar CIrcle. DulUl11, M:I'l ~1

- -

-- ---

--

----

-- -

-- ----------

-----

MAINTENANCE RECORD F.A.R 43 9

:..L1 .... C) Id~R11fIC~---~ . D:"l1 Of :"IRC R:..rlll'l.H Ol SCRIPlIO .... OF ,'I. OR I<. PI RI OR 'I.\[ IJ--:~- "URI<. 1'1 RfOR\\lILRI fIR"! II f(l'lR\ICI(()\\I'l( 110.... OR :..PPRO\ LD D:" 1:.. L'SID'" Sf R\I(f I , December 1'+. 200.+ HOBBS 853 N.+3097 ,

-- L & R seat break mer bolts Inspected and adjusted per S8 A2X-25-oX , L &. R aileron dri\e pin bearings inspected for presents of stakes per S8 2X-27-()7.

--~ Roll trilll cartridge replaced \\ith ne\\ cartridge pJ\: I56W-()O 1 and pitch trim cartridge -- Inbricated per S82X·27-08F --~----------

Fuel selector \ aile c\tension shaft aluminllIl1slcc\e PN "1.+.+3-()1l-" inswlIcd per SB 2X-28-o3 -HorlloIllal stabllver inspec\lon hole con:rs installed per 58 2X-55- JI) -_..--- -----_.-- ---CAPS placard PI' l5X(lX-()O 1 installed per SB 2X-95-0 i

-- LH inner \\ heel pant bracket PN l3:'2.+-()()J replaced.

The maintenance descnbed abO' e has been perfonned in accordance \\ ith the -- arr1icablc standards of aJn\ortllllless -/LJ~C~~

I --l li,873:, ---------

I ----~------ .. _----------------- -----1--------

~

-

MAINTENANCE RECORD F.A.R.43.9

DATE OF COMPLETION

AIRCRAFT TIME IN SERVICE

DESCRIPTION OF WORK PERFORMED OR APPROVED DATA USED

AGENCY" CERTIFICATE NO. WORK PERFORMED/RETURNED TO SERVICE

t __,_----~------I----------------.....1...-------------r-- ".' Middle Keu!i ""1--- ~ /'.:.., AJRCRA~:l~5ERVICE

..... -. ~-• '!... t!'_..........{---

4128105 N43097 H.M.193.7 T.T.193.7 AnnulI inspection Completed

-:.---- Inspected this aircraft in accordanat with FAR 43 App D. replaced logic module in MCU. PN#1461G-002, SN#356974, replaced RJH forward engine baffting PN#10790-004, replaced power lever 14063-002, replaced propeller push puR cable PN# 14392-1025, replaced clip anchor on cable PN#11669-003. replaced Ltl flap chafe tape PN#51168-002. replaced bracket air filter element PN#BA-24, replaced LJH and RIH tires with Goodyear Flight Custom III 15x600x6 ply

.......t,...--

with new tubes, replaced brake linings lJH and RIH with PN#66-00104, replaced map light switches over rear

1 I passenger seats (2)PN#12457-002, replaced missing tail hook PN#12403-001, CIW SB 2)(-57-OS Aileron Hinge

bearing and gap inspections, by inspection, nodi8crepancies noted, CIW 582X-25-07 Dual inertia real seat belt instaHation by installation of P/N70076-Q01-8013, CIW SB2X-25-006 R3 aew seat recline lock installation by installation of kit PN#70084-001, em SIB 2X-24-03 Master control unit MCU sealing, as per sib, checked and found aU

f AD'S to have been CIW thru this date, I certify that this aircraft has been inspected in accordance with an annual ....;:..~._--

inspection and was determined to be in airwor1t1y condition. 4128105 T.T.193.7 ...

~~701.A.

,..---. I

MAINTENANCE RECORD F.A.R.43·L__-----. _

I ----"'<.['.() <I. (lRllf Il ·\11 ' DA lEe OF AIRC R",rl llMI Dl ~(RIP1'O~ Ol v\ OR .... PERlORMI [) \\ OR .... PI RFORME D 'RI lliR'i1 IJ ,CaMPI [ TlO" '''SER\IC! OR "'PPRO\ FlJ D'" 1 '" l'SI D I '

~AIRCRA~ SERVICE

7/23/07 N43079 H.M.541.1 Plane Re-rigged to correct out of trim condition, ailerons, flaps and rudder I/AfW Chapter 27 of the Cirrus, SR20 maintenance manual, this was accomplished to cm S8 2X-27-14 R2 Rudder-Aileror Interconnect Modification, by kit P/N#70187-001 , bungee interconnect was replaced P/N# 12983001, aircraft was test flown several ti~~on trim tabs were adjusted to level flight. ~ _ 104910

I ==r=

--JE -

--------------

_

_

INSPECTION RECORD F•A. R. 43. 11-91 .4-.::,..09-=-=-:-::~c;-:-::-:~

"I~D OF 1~5PECTIO~ 5T .... TL5 & DISCREP .... ~CY LISTICE ();rF II .... IRCR .... FTTI'\EI _ I~SFR\llE SIC.~"\Tl RE - CERT ~O OF PERSO'l .... PPRO\I~C.OR D1SS .... PPRO\I~G .... IRlR .... FT FOR 5ER\ICE~~ I

~lSt)i.;.,'tc31 ') q ~-t I

Production Flight Test accomplished in accordance \\ ith-t-----+----~-, CilTus Procedure #90500. ----... '

~-----r--~ ,

L-----------+'I-----~-- Date: -=-'~--'-:---1r---0-=3=---------j

,

!

1

Signature:----4_------+----+-----,-- Title: Production Flight Test Pilot --e

-l I r-- 'I

~ 1J

I find that this ;-\ircr~lft meets thc requiremcnts C)!' thc~ (IS ! I -t"

Certificate rcquested and hme issued an Export Certiticate of ,\imorthincss dated .':: - 1'";> _ ," ~ . .e--------.'

~ -'-'- --'-'---'-'

--t------r----~ TfMOTHY L. BOJ\iDERER

I---i-- i DMfRcf 1007~CE ~ I II

r--- -l---i I

1

-i- - J

I

I----~-=-=-=-------------

INSPECTION RECORD F.A.R.43.11-91.409

---=-::-=c-==~~~-----------

December 14, 2004; N43097 SR20. sin1329

I certify that this aircraft has been inspected in accordance with an annual inspection as per Cirrus SR20/22 Maintenance Manual and was determined to be in an airworthy condition. ACTTfliobbs 85.3 hrs

• <'

/ ; /..,. , ,/'/ /r ,/

I l~ _i//r-' !,,/ i ~- /",1J', /1 'i /1 ((' ,'C'_ 7;:: ~-,-l~/---------,(_----s-!'-----,,-~,='/---=t:==---"_:'__~-L7-"-_-,-,-:'_'.-c::::..~",,----;;--

- ------"- -1-- _

.--------o--------+--I

- -----+-------+--

--~--____t---___t_------------------------

',---:....,.--____t-----t------------.:...---------------I

- . .------+--------,----

INSPECTION RECORD F.A.R.43.11-91A09

--. ,. "'···-"-I-\Ii«~'FfII\~--· -----~ "I .... D OF I.... SPF C T10.... S T " T'L-:.,:-::"-::D:-:-:-I"--;-CR=[=PC-C"....-::Cc-c\c-cLl.,::.-::T----

1,,1f ',I .... SFR\IU SI( ..... \T11~l- UcK] VJ OFPFRSO .... ·\I'PRO\I .... COR DISS"PI'RO\I .... C "IRCR.\FT FOR SFR\IC[ ~.-~---

I find that the aircraft meets the requirements----- for the certification requested and have issued a (Standard) [Spceia1) Airworthiness Cerlificate dated: 1;< - / ~- CJ i------" ""j------_.-

___ -- -- ------r---------- Next (annual) (oel iditiofi) inspection due:

--.-----~

. Id-~

-----_._-+-------~-

Middle Key§"'-......~. AIRCRAFT. SERVICE ~~ "

3/10/06 N43097 H.M.312.9 Replaced the R/H tire with GoocJyear Flight Custom III 15X600X6, and :Iew 15X600 tube. all work done in accordance with Cirrus service manual. 11 ~&P#3076765

/)/l. !uc {~I~AJ~~

j __~=t ~ _

-.-- ---------t

-'.-----+

." --- --jI

-t

-'.----.......j..

-'.,------+

--------+

-'-----+

~"'----r-----+---~~~-

,


--------c

Middle Keu5 ~AIRCRA~F'!!iERVICE

5/5106 N43097 HM3204 TT3204 Annual inspection completed

Inspected this aircraft in accordance with FAR43 App D, removed MDF for repairs, re-installed MFD PN#700-00004006, SN#1705 repaired by Avidyne under RA20779, dated 4/17/06, installed AVldyne software upgrade rev 6 to MFD cleaned connections on 011 pressure sender, cleaned connections on fuel boost pump, replaced UH tire and tube wltl Goodyear Flight custom III 15X600X6ply and new tube, replaced aircraft battery with Gill PN#G-243 SN#g0224766L

replaced step treads on wing step PN#12683-006, replaced plug on nose wheel pant PN#50498-700, replaced Brackett air filter element PN#BA-24, crvv FAR 91.207 Elt check, CNY SB2X-34-14 XM Satellite Radio Installation b\ kit PN#701 18-001, crw SIB 2X-34-06R3 Avidyne XM WX Satellite weather installation by installing kit PN#70089-0C crw SB2X-32-11 Nose Strut Replacement by installing new strut kit PN#70082-900 strut PN1I11907-001 SN1I1514 crw SB 2X-25-17R1 Crew seat Break-Over Pin Replacement by Installing kit PN#70130-001, crw S8 2X-28-04R1 Fuel line chafing by kit PN#70133-001, CNY SIB 2X-32-14R1 main landing gear faring mod by kit PN#70144-001, C SB2X-S7-0SR1 Aileron Bearing Gap by installing kit PN#701OS-001, CNY SB 2x-53-03 tail tie down assembly by installing kit PN#70120-001.GfIN SB2X-S7-06R1 Flap Hinge Fairing Replacement by Installing new liB flap hinge kll PN#16738-101 ,crw ND 200S-17-19C Crew seat from folding forward P/CN/ By (2)S/B's 2X-2S-08 on 12114/04 ani SB2X-25-06 on 4/28/05, CN/AD 2006-07-06 to detect correct &prevent damage to the fuellJne and wire bundles, SIB 2X-28·04R1 kit PN#70133-001 on 5/5/05 11320.4. cheCKed and found all ND's to have been CN/ thru this de I certify that thiS aircraft has been Inspected In accordance With an annual inspection and was determined to be in ; airworthy condition, . ._.~

5/05/2006 TT. 320~~1.A

INSPECTION RECORD F.A.R. 43.11-91.409

"I"D OF "'SPECTIO" S T '\ 'ilS & DISCREP,\V) LIS T SIC",\TIRI= CERT "0 OFPER,O," ,,"PPRO\INGOR DISS""PPRO\r"C ·\IRCR'\FT FOR SER\ICE

~'" I I I I

Middle Keys~AIRCRA~' SERVICE

7/27106 N43097 H.M.350.0 L-- Oil drained and all filter removed, oil filter cut open and no contamination noted, replaced oil filter

with Champion CH481 08·1 and service engine with 7 qts of Aeroshell 15w-50, engine cleaned and

operational check preformed, no leaks noted?~:~..::;..-2:;~:~~0491 0

f\;1iddle KellS ~ AIRCRAFT.F'SERVlcE

9/25/06 N43097 H.M.386.6 Oli drained and oil filter removed, oil filter cut open and no contamination noted, replaced oil filter with Champion Ch481 08·1 oil filter and service engine with 7 qts of Aeroshell 15w-50, engine cleaned and operational check preformed. /~ A&J1t=3104910

'·0·'~/./.- ---"'?/'. /'. //~-- //.-.---- -' (.~- -----'

--

I NSPECTION RECORD F.A. R. 43.11-91.409

i----I""':"A=�R-:::cR:-::A-=FT:-::T:7.IM~E~-----~~K~IN-=-D=::-:OF=-=I.,.:"NS~P=EC~T~1O,.,.,:N:....,. -----------:.,...S;'TA-:-:T~'U~-=-S&C::-=-:DI=SC=R=EP~A-NC=Y-L=IS-TDATE IN SERVICE SIGNATURE - CERT. NO. OF PERSON APPROVING OR DISSAPPROVING AIRCRAFT FOR SERVICE

~M!..clJ!~jl1E1lV1CE .... ....~

- ..,...- " ~.~

9/25/06 N43097 H.M.386.6 Removed oil servicing door on top cowling, removed forward door latch, replaced forward door latch PN#PN#H-5000·2,re-installed oil servicing door, operational chec tisfaetory. ~ #3104910

.~:<t'

;")(?'

.~~!{:;~"f/<'!fi:;{1;:"t:":.'!'"""t' _ '>;~fir,~ j,r.. i!' ~" ~;'. / '::';'C' ~

,; . ..,:;..;.,'j{~ ..,- "

~,~f, h:·c i: ,,;).~.~ ~?~:,~~

~O'L fill ''01 i'~ "'~

/2//1'1~:\.\4.,& ,.A--rt. Ci;f~Ku .~ c)~i.I , ~Il /1-1/06 ;AAh1t11' C. "ll(:)r~ RLJ7 -'v -

-----

'-. '

)N RECORD .11-91.409 -i1I~~.\l-\,-t:lJ~ci;-fP.1,""C-)-L"I~l-- _-- ---1'O.... ·\PI'RO\L .... (,(lR DI',',·\I'I'H<l\I .... l, ·\IHCH·\III(lH 'II<\I( L

Middle Kells ~AIRCRA~?5ERVICE

11/17/06 N43097 H,MA04,2 Removed cover from MCU, inspected and found corrosion, removed corrosion and treated MCU as per maintenance manual, re-installed cover and sealed, tubed throttle and mixture cable, removed electric horizon, for overhaul, re-insta\\ed electric horizon after O/H Goodrich PN#504-0111-937 S/N25587, by Rudy Aircraft instruments under W/O#33687, dated 11/15/06, removed HIS for repairs, re-installed after repairs HSI Century PIN 52d189 by Rudy Aircraft Instruments under W/O#33699 dated 11/14/06, operation check p.r.efo~~. noted._/}W{j~s.oeg.al1Cies

~--:::c~.::z/ --/ A&P#31 0491 0

--L__ ----L ._.__.__

•

~ I.... IRCR,\FT T1'1E i , ',) ....HII ' "SER\ICE

~ I' II I -L-----. ;

I

~ -~~~ I ' r-r---!

y--------t ! ' ~-----t

• I

~~ -r- : , I

t --r

t ; I

----r---~-_t

; i

-----: , , I

---+--------+------+--~ ! i

-t 1----+-1---~ , I-4- --l----,---.

Peninsula. \\ iOllies. 1m',

1~229 S\\ 127" Street 'Hami, FL 331S6

lHE PITOT ST\ IIC SYSTE'.1. .\LTI'.tETFRS.\"]) E"COllER TESTS \S RH.,lI·IRFD BY r \R P\RT 91 All I" .\CCORD.\V:F WITH F.\R·n \PPE"D1X F Ii\ \1: BFFS PERFOR'.IED PITOT STATIC J.E.\h

UIEChED \S PER P\R\. \ IHE PilOTS \1 TI'.IETFR S ~ ~30522

II\S BEE"ll SIT]) TO 211,000 rEET AS PER P\R\. B mE F);('(lDER S" S29~S CHEChFD\S PER P \R\C THE COPILOTS .\ITI\IET!:R S); V\ II\S BEE); TESTFI)TO 'OIA HET .\S PER PAR\ C TilE I'\CO])jR S" 'O/.\_CIILChFD \S PER P.\R.\C

])\TE 11127/2006 W 0 25059 Sltj"I:D

\ IC II< \"S I'(),\ m I< nSls \'\1) I'\SPFCTIO"S. \S RF(,)IIRE]) BY I\R 91-l U. I" \CCOI<D.\.'\n: WITII F.\R -l.l .. \PH:"DIX F, IL\\E BEE" PIRFOR\l11)

\1(1)1 I (;\\:,327 S" SJ7IJ.u;~ poWl1< 175 \\ atts \\(1])!J _~S'\~I'()\\]-R V\

I) \n 1\/P/2II06 \\ 0 Z5059 Sltj:"l]) . ~ I: ..

I I


,-;::--;;~=~:-:-~:--:=----------KI~D OF I~SPECTlO~ ST,\TLS & DISCREP .... NC~ LIST

SIG~ .... rLRE - CERT ~O. OF PERSO~ .... PPRO\ISGOR DISS .... PPHO\'~G .... IRCR .... FT FOR SrR\ICE

- , -- --,--~------

, f-I.....r.lIp.~ffP.d

3104910

INSPECTION RECORD F.A.R. 43.11-91.409

td~DOf 1~~F'[CfI()~ Sf-\lL~&DIS(R[P'\"'(~IISl j -\IR( R-\F f f1M[ "

J-\ lE 5IG~-\TlIR[ - ([Rl ""0. or P[RSO .... APPRO\ 1.... (, OR Ol,,"-\PPHO\ ' .... l, -\IRC HAF 1 lOR 51 R\ I( II"SER\llL I

Middle Keu5 ~AIRCRA~?§ERVICE

2/13/07 N43097 H.M,450,0 Removed HSI PN#52D189 SN#766A, replaced HSI by Mid-Continent instruments PN#52D189 S/N389A under W/O#0088236, dated 10/25/06, Installed MFD software upgrade Avidyne SIB #601·00004.Q74, this aircraft approved for return d ~ A&P#31 04910

Middle Keu5 ~AIRCRA~?§ERVICE

Champion and operational


I ""I Re R ,\F TTl ~\l : k.1" D OF I" SPE C T10," ' S T S T::--~---------"" TL'-;S:-;&;-;D~I;::;SC:-;:R-;:CE;:;CP""C':',,-;CCC-)c-;11cc:iJ III

' I" 5TR\ Ie l I' <,Ie,,,",, Tl RE - eER T "0 or PER S0" ",,"PRO\ 1'<" OR DISS""PPRO\ I"C ""IReR""F T FOR 5tR\ ICF~="==t'~~~~cl=,==o=-..:.~~==~~~~~~~~~~~;,,;,;;~~~~~~~;;;~====:

I,

~ Middle Ke. IS II ~AIRC:RA~?SERVIC:E

5/25/07 N43097 H,M.499.4 T,T,499,4 Annual Inspection Completed

Inspected this aircraft In accordance with FAR43 appendix D, replaced rear passenger cup holder PN#51179·001, replaced main landing gear grommets PNl/16937·001 uH and RJH, replaced Inner wheel pant brackets PN#17205·001 and PNl/17205-002, re-attached mid landing gear faring click bonds, UH and RiH, Replaced main landing gear tires with Goodyear Flight Custom III 15X600X6 with Michelin Alrstop tubes, replaced brake linings PN#1 01-65400 (4), replaced LH upper mid landing gear fairing bracket PN#12975-1 01, replaced well grommets on upper landing gear fairings as needed, replaced battery #2 (2)sealed PN#50979-001, replaced mounts on landing lamp and hardware, replaced nose gear bumper stack-ups PN#11879·006 (5) and rebound bumpers PN#14020-001 (2) and hardware, replaced pilot and co-pilot sun visors PN#12698-003 and hardware as needed, C/W FAR91207 ELT by Inspection test replaced batteries and new date IS MAR2013, C/W SB 2X-52'04R2 Cabin door strut mod by kit PN#70167 -001, CiW SB 2X-95-09R1 CAPS abrasion strap by kit PN#70142-001, C/W SBA2X·95-1 OR2 CAPS Pick-up collar support replacement PNl/70181-002.CAPS rockel SN#00891 , GW SB2X-34'05R2 Transponder grounding plane Improvement, by kit PN#70058-001 , checked and found all AD's to have been OW thru this datJY,1Certlfy that this aircraft has been Inspected In accordance with an annU,al ins/tlon and ~undJo-b~/~a6 airworthy condition

5;25/07 TT4994~,;., /MPm0491~. .:;"...-- <" / // ~ ?,

\.~

f\ -t---:I------------------------;-------t---------I-.----. ----- --'--, it Ir-----ji------------~----------.~" I I

INSPECTION RECORD F.A. R. 43.11-91.409----:\;,--- rl~~~:~~~---- --~I~.~~I-::--I~,~['~(~lI()~~~~~,,~l~~II'~~~-,~~~~~I~~~]\11u R~I-I-I~):-:I In II I

/~/:2J1?2-~ ~_ ~_L ~L _ _L-il~..-"~ ",. l !IL-.K~-,- ":>

Middle Kells ~AIRrRA~?5ERvlrE

9/17/07 N43097 H.M.579.4 Removed MCU 100 , replaced MCU with MCU 120 service unit by Cirrus PN#1660-001 s SN#00072. perlormed MCU run up and operational check satlsfacto his aircraft approved for retune to service ~~~ #3104910

~~~--

Middle Kells ~AIRrRA~?5ERVIrE

..-1/18/08 N43097 H.M.620.1

Removed HSI. replaced HSI with Exchanged O/H unit by Mid-Continent Instruments, PN#52D189 SN#400A, under W/O#0110581 ,Cf\N SIB 2X·27-14R3 by kit PN#70197·001, this aircraft approved tor return to service. A&P#3104910

.~~~ ~~~~

___. . _ J . __ . --.J _._. _

--

~


~---=-c-=-=-=--:--=--:-:-:=-----------

,\'liddle KellS ~AIRCRA~?5ERVICE

I<.I'-D OF I'-SPECTION ST '" TlJS & DISCREP"',"CY LIST ~IC,"'" TL RE - (ERT ,"0 OF PERSOI'. APPRO\'''G OR DISSAPPRo\ I"G "'IRCRAFT FOR SER\ ICE

""RC RAFT TIME I I" SFR\ IC E

5/29108 N43097 H,M. 657,8 T.T.657.8 Annual inspection completed

Inspected this aircraft in accordance With FAR 43 Appendix D, adjusted UH & RJH exhaust ball JOints replaced all hardware springs PN#50221·001 and bolts AN3C14, washers, nuts, replaced UH fuel sump PN#50141-001, repaired RJH upper wheel pant clip, replaced 2 well nuts on upper MLG fairing, replaced all wing tip hardware, rotated UH and RJ H MLG tires on the rims, applied corrosion-X to all flap hinges, CIW FAR 91,207 d ELT functional test and inspection (next battery due date MAR 2013), crw SB2X·78-07R1 SR20 Heat Exchanger inspection, next inspection due at T.T.7578, crw AD 2007-14-03 CAPS pick-up collar P/Crw by SBA2X-95-1 OR2 TT4994, CIW AD 2008-03·16 Rudder Aileron Interconnect P/C/W By SB2X-27-14R3 by kit PN#70197-001, T.T. 620,1, Checked and found all AD's to have been C/W thru this date, I certify that this aircraft has been inspected In accordance with an ann I inspection and was determined to be in an airworthy condition. I ~':l1 n~

5/29/08 T.T,657.8 ~~~

\ IE

--+--------r---~i-"------

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__-----L- -----l-- "

-,

.

, :

rs liSTED REAS 3 OVERHAULED SEMBLED AND

Date OctOber 25, 2007

Date October 25, 2007

Date October 26, 2007

~ Quantity

2 1

2

2

4

1

,_- -----1--

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I ----,-+----

I-----+-1--


f-.I"f) 01 ""PIC TIO'- ~T '\ll '", f)IV R[ P",,'C) 1151 "J(,""'H,HI - CIR1 NO Of'PI RSO" ""PPRO\/,-COR O'SS,\I'PRO\/'(, ,\IHe R,\l1 fOR SI HIli I

i \. , '

I" ,J 87'~J. 'T/t1v 9 1..£>05,I','"

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<.:W~~..,v 'IHOI'I( H \DIU 1..... ( .2(}q~ '\,\\. :"Ilth ~i.1I \ ..... C! l~ :".l, \ 11.IAt I)IRJ)\I I 11.3J3(II: 1\\ APPHO\ III I{I 1'\lli :-'1,\ I Vi·.... ; L/-tW

t I .1\ I D I J: D\ 1.1 I\.I ('( I I \ I \I R I'()Ii I ;, \ IU II I H I: " \ if" i 1.1 i I'ill )'-.! I; l)~..j ~-;(.,-lll.'fl \'. \\\\ ,I HI )I'~( F.\!ll(i/ 0\;

&-TY.. 3 J- 1 S/0 8 3 7 ) 3 'i-0 1 Ack 3c..;, <S/'0 1.'viA-v

( FRTH I(U 10..... L\l'lRr\" 0 ..... __ (\.~ :3 I 201/ ~ (


""' ~ East Laa!iiit ~.. AVIATlDN ~ERV'C:E. ~ l:"'- .) INC.

" 7/9/09 N43097 H.M.777.3 T,T.777,3

Annual Inspection Completed Inspected this aircraft in accordance with Far 43 appendix D, replaced oil temp probe PN#12634-001, replaced step treads I/H and RJH PN#12683-006. replaced mixture control cable hardware on engine side of aircraft, replaced landing lamp lens PN#14526-003. replaced OAT and Clock battery, replaced terminal boot on POSitive lead battery #1 PN#MS25171-4S, tightened the RlH fuel sender post. replaced misSing hardware on ANR and headset rear jacks. repaired cup holders as needed, replaced fuel line from firewall to baffling PN#156F001-4S-0225, replaced caps line cutters, kit PN#25347·001 next due date is 7/2015, replaced nose tire With Goodyear Flight Custom III 500X5 and Michelin Airstop tube 500X5, replaced hardware on all landing gear fairings, replaced dust cap on L!H brake bleeder PN#183-00100. removed HSI PN#52D189 SN#400A, re-installed HSI by Mid Continent Instruments PN#52D136-1333 SIN 1-13169A under W/O # WRK0141651, dated 4/23/09, replaced breather line crankcase PN#MILH6000- 34.CNJ FAR 91.207 (d) Elt inspection and test, (battery due date is MAR2013),CNJ SB2X-78-07R 1 SR20 heat exchanger inspection, found muffler cracked replaced muffler PN# 11884-003 and shroud assembly Pi'J#1 0869-002 by Plane Exhaust Corp under W/O#8439 and WO# 8440, dated 7/08/09 (inspected every 1OOHRS). C;W SB 2X-32-18 R3 Nose landing gear upper gusset inspection no discrepancies noted (every 100hrs), CIW SB 2X-71-10 R2 oil Breather line Sleeve installation by kit PN#70092-001 and kit PN#70230-001, CNJ AD 2008-11-18 to detect and correct leaks in the exhaust system by installation of new muffler PN#11884-003 and shroud 10869-002, (re-Inspect every 100 HRS next due at 877.3), checked and found all AD's to have been C/W thru this date I certify this aircraft to have been Inspected In accordance With an annual Inspection and was determined to be In airworthy condition

7/9/09 T.T.7~7~

-----

__ -----------

ENGINEERING RECORD

INSPECTION. REPAIRS II REPLACEMENT SIGNATURE _.~ ....... '" ..... :u~ COL,-,.,...l~S.

LOG BOOK ENTRY DATE: 060500-01

MAKE: CIRRUS TOTAL TIME: 14.~ N#: C-GYZE MODEL: SR20 HOBBS TIME: 14.~ SiN l.J~9

Adjusted L'H flap lAW cirru.<l AMM chapter 27-50. Removed I and Repla.:ed #2 VORiOBS indicator pIn on 12723.102 sIn on K2279 lA\\ II

Clrrus A..\I:-'1 chapter 34-50. Removed and Repla.:ed MeV Logic M0d~e lAW CDC P.S. 90300. Adjusted co-pilot! 6eat hamellS lAW sla1\dard mainlenace pra.:tices. C'l's check1J good Sanded, prepped, and painted f"d half of nose wheel fairir.g lAW cimJa AMM 51.30, Torqued Axle 1\ul to 4) I in.1bs lAW CUT\l3 AMM 32-41. Removed and Replaced #2 Alternator pll I 0Tl 13565-001 sJn on 0431858 lAW cirrus AMM 24.30. I

TtlfJ ncril, Icentd,oo 8UovfJ \l'r8S cerlcrmed In $Ccordancfi WIt" Ihf ClJrr&/t' ;eJeral Ali1eJ,',,;.,,1

~~;~;~C:8::C;:S fwM 10 o. 8,rwulhy fW;;::;;'; ::I~.(jh8 -------~-_-I-===========~~on , ••: WKJ# 060503-01 SIGNED ~~t=~ ..

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I

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, .• ,iH ,~#lol~~

, .' .... 'dJ;])t2t '[; #2~)

f-- --=I::.:.~i:.:.f::-c--.-:I:'..'j mitccl Pa rts SR20 l -+ _ PA RT NA I\fE I P.\lrf\l'\IBm ':'>1 -"''f.,1 EXPIRES I,

CAPS Rock" 'Ioto, 1150"7-orll '" I "'h1-----+-----OObqLICAPS Pardchutc : 150-~G-OCJ 1 ! S/~ QJ::iaSL I 0 i 1

ICApsRcefingLIlil: 15212 ! IO~:>I-,:n'" I -1, +- _

------- Cutkrs ,.-- IIOTQQocuH I C't"J,/Or: I, _______!ELTKiltcrics:.L\'I:OO : DJtell1siJllcJ! ' 1 +- _--------r ,--~l......~...>jjQ.:2_~-C'-Vi;l~ .----+------

-------~'=========::.::.-==-------_._--,---_. ,I, ~-----

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AIR TIME AND

TOT AL AIRDAILY TIME SINCETOT AL

MFG.D"TE NOTE:

HRS. ~IN. HRS. , ~IN.

BROUGHT

FORWARD ;1

~ CIRRUS o ,: ~

fuselage A.MM.

tfilS BQ8ncy under,

WK)#:

~ ve/V/ /) V ()

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4.A

ENGINEERING RECORD

UIE BOTH PAGEl "NO •• M.NY LINEI '" REOUIRED FOR COMPLE

LOG BOOK ENTRY - DATE: 6/.3/20OJ

MAKE: CIRRUS TOTAL TIME: 6.6 N#: C-GYZE - MODEL: SRlO HOBBS TIM~: 6.6 SiN: 1.329

I G N Removed exposed double aided l.Ilpe from R'1! sid, . next to trailing edge of wiJlgJ'oot fairing lAW. Cmus SR: 12·20. Set up #2 Gannin GNS 420 lAW. CDC pro:ess ~lC.

90~0 1 # 2 COl checks good on ground.

The work Identilled Qoolle wai P9rlormed In eccordQncl With the currlnt Htdera; ,..;. ~. -- ReOl.llQltOn and w,s fOJ./nQ 10 be airworthy for ,.'urn 10.eNce PlrtJl'Hiln.!..delalii 'if (,,1 ' ,.,

~~

060303.a4 SIGNED?

Clrnu Dtlljp1 f,ctory Suv1(t Ctnter. CRS. YD5RB!!Y. 4!1! Taylor Clrc.le, Duluth, ~C" ~ .. ~ --

J.....L-.DiA ~M ~ Ju, "'----h "btit

t

./)£ .L. '{ j,O (; ~ V J

LI 'j _ r

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j..~~ tj- ~~'" 'h ~ /\A....t.-v. c~~, , I

llC:llllY Ul~lllle altimeter, S[JlIC system, transponder, :Ind ;tltitucle reporter test required by FAR's 91.411,

91.413, & 91.217 h:lve been preformed and found within the limits of FAR 43 appendices E & F and AC 43-6A.

TESTED TO 17,500 FEET ON ·t/-'<7-03 Transponoc(" Mfg GJ'-min PIN 13')87 050- . , I - -

Model: GTX-327 SIN 837 (3 ita+-

Encodcr: lvlodel ~Cl( P/~ A-30 SIN 82Cf4cg.

Altimctcr: .t\.1fa Uniteci .

b ___ PIN 12731-001 SI1jr 30S-2 2. .

CDC Qu'lny A'Sllcancc h'U'o\ on tf127'I03j CiITUS DeSign Corporation Duluth, MN USA PCN 33SCE

-

)1 0 C"RR lED FORWARD

CCcc:~~.i:c::::_=~? .-Teledyne, Continontal Motors, Inc.

A loooU'ir.., T&ehnolOQim Compan,

Prill led: 03/24/2003

TWs enl:lne Dlodel I0.360ES6 , Serial No. 357663 was manufactured on031201200J

by Teledyne Conllilclllal l\lulurs III acc~cc wilh appruved design !.Iala and Ul~ appllcable requlrements

or Part 21 of llie Federal AvlaUon RegulaUon. The aplJruved design data ror Ulls en~e lncorporat.e.s all

Chllnl:eS requlredlJy llPIJUcalJle Aln\ortllllless DirectJl'es :llId Teledyne Continental rvlotors Sen-icc DullcUns.

l'ELEDYNE CONTIl'.~NTAL'MOTORS A TELED\1'<"E TECHNOLOGIES COM!'ANY

PRODUCTION CERTffiCATE NO. 508

ENGINE LOG

1. Make

2. Model

3. Specification

4. Manufacturer's Serial Number

5. Date of Manufacture

6. Aircraft Inspection Cycle

I

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I

ENGINE SERVICE AND

: IME SI NC E ..,.. I~E F--o: u~ INSTAL;.. A""'IO~S,O\/ERH Au' .......

CAT :: i NOTE uSE BC1 ..... ~A..GE-s A.'" =- AS VA~...:'r c

i H RS. HRS.MIN. ""IN.I

BROUGHT FOR\\AR[1 ~ b/9 I~ I v';/,v) !I L'1~ v.JIt~1 1J

v vv u i ~ -t LJ C e,0 vi 7 "I

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~~ GN '!"v 12/0~

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CARRIED FORWARD

TOT AL THIS PAGE

TOTAL FROM PREVIOUS SUMMARy

TOTAL SINCE MFG.

lo-,jSPE.::"--iC''''''-S,

I'" E- S A~ :.....E_:.._'~~: t: C ... C C'," t: _ L ~ l

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E 33- Y.JZC-t

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MAINTENANCE RECORD

REPAIRS,

EN fRIES. ORA. ....... DIA,<;ONAL LINE:. Tlo-I ROU Glo-I

11yz..r-:- ~"' '1,J - L~.#f<-A.

I

,If1 P".,; (0 J>1 .. c c: L --...;2'f'~J , ~<: ~ /1 , Or, E ~. .

(jf'.~ L .. i "<"

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November 22. 200-l-

-and CAR 625 Appendix 8 & C-• agncto tUnIng adjusted.( _"ark plllgS cleaned and gapped,

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applicable standards of ain\orthiness -

-

-

ADJUSTMENTS, MODIFICATIONS L.ICENCESIGNATURE

ANI( UNUSED LINES IN DATE AND TIME COLUMNS. NUMBER

,j /f ~ // ~ (/W2 57./). (JJ

~ ':1= ~ II ~y Fj A, -:~ F ',l.\'fj i'-" :,N i~;':

~J[ S ::Rjt';:~O ~130\i~ tL':',S d[:t~ P~~JJi1~~b;

,,'; :,!~~;r}:',J,\:;,:F ''\/j)" iH' A"f'IIr:..:...,'·

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TTSN: 58,6 C-GYZE i r

A !O() Hr/ Annual inspection has been camed oul per Cirrus SR20 Sen ice Manual !

Engine oil and filter changed, Phillips 20W50 XC Il1stalled.

I

The mamtenance descnbed abo\e has been performed in accordance with the

~13~~ !

~ [68715

MAXI0.4U0.4 HOURS 8ET .... EEN OVERHAUL.S HOURS.

Date Total Time Time Since Engine Service and Maintenance RecordLast Overhaul

Hrs. Min. Hrs. Min. Installations, Inspections. Airworthiness Directives, Special Inspections, Modifications and Service Bulletins

'(-).)-0 ) 0 6 - - -- -Sen;"d b""" " "h , Q" 0 r Ph" I'I" "'~ , - , I ~"DStrdl~lil \lin<::ral ()illlnL :?)~} b> -t:..i

I

/' ' ,Ii 76'-' /'S- - 3 ~-< r- ., .~ 1f';J /--;--.:; 'c --;:../ ..,., .' S',.;c ~. '0

I . ; ". ,'~ --, )~~C / /", ." c: .~ . .. ) , ." n7 . -:.-t;\" ..;;Jr'''::k ,.e 1 f~ C. . ' !f> /_1 ,_"1" IA'.:;",L~

I Vl-,,) ..... J .--,.' _ _ ~ ---: . (.4/V ';O~71 / .. / / "7' '~.

't .1_ <':/?(/':"rf.L-'1 ; ""-<.."'.0 ' <../ 'y ••' .. <

-~... , . - y"7- :-p:.l- -:' 2 / (, ;."/,: / ( .J ,.'(/'/ 71"./..I<7(/c/' / .....,:, Y7 ~. , .,. c'''' :

~ /,~. . /-' ) , t /:./d. c-£1N (,~,TJ,;/'CI /hl /'(/ '/ J?r?,"7 c' ~ . <. i. j

;..'(( ((; ."~V "" ( ,/7,...- ; ..//L __ / 7-4 ) ,'/ ' .lrf .. ~ L "" ~ r~. _

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~" It 'r{fe !{ ':11 .'iC ........ ' Y. il.~ ... J e :!.I' ~ AIRCRAFT. SERVICE

4/2812005 N43097 H.M193.7 T.T.193. 7 100hr/Annuaiinspection Completed

I

Oil drained and filter removed, oil filter cut open and no discrepancies noted, replaced oii iiiter w,trl champion CH48108-1 and service engine with 8 qts of Aeroshell15w-50, Compression checked as follows (1 )72(2)70(3)70(4)74(5)70(6)70/80, replaced oil cooler shoe PN#632983, engine cleaned and operational check preformed, checked and found all AD'S to have been erw thru this date, I certify that this engine has been inspected in accordance with an 1OOhr inspection and has been determined to be in an ai/worthy condition.

4/28/2005

d~-~ , /' A&P262858070

,

I I I I I

......... /\IIiddle Ke#§ ~AIRCRA~ SERVICE

5/5/06 N43097 HM3204 TT3204 100hr/Annuai inspection completed

Oil drained and 011 filter removed, oil filter cut open and no contamination noted, replaced 011 filter With Champion Ch48108·1 and serviced engine with 8 qts of Aeroshel115w-50 011, compression checked as follows (1 )78(2)78(3)78(4)78(5)78(6)78/80, replaced all spark plugs with Champion RHM38E, engine cleaned and operational check preformed, checked and found all AD's to have been C/W thru this date, I certify that thiS engine has been Inspected in accordance with a 1OOhr inspection and was determined to be in an a\Nforthy condition.

5/05,2006 n 3204 ~~A; ~'

~ . ''

I ! I I I I

lotal Time Time Since Engine Service and Maintenance Record ILast Overhaul

Hrs. Min. Hrs. Min. Installations, Inspections, Airworthiness Directives, Special Inspections, Modifications and Service Bulletins

)ught Forward ~

I I

J-

Middle Keu!fj ~AIRCRA~F'5ERVICE

7/27/06 N43097 H.M.350.0 Removed EGT probe, replaced EGT probe PN# 12692·001, removed tack sensor, replaced tach sensor PN#12323-001, cm SIB 2X-71-11 Electrical Connector Sealing by installing kit PN#70136-001, operational check preformed, no discrepancies noted, all work done in accordance with Cirrus service manual. A&P#31 0491 0

..,. ----J ~ /-,-,,/ ..--" . //~ /

~ ~.' /-~ / ~ <:::::::-~ -:~y ~ / ~

____--'--_ .L.-_.L--~__-.1._

~cft!'!r..~!J~RVICE

5/25/07 N43097 H.M.499.4 1.T.499.4 SMOH 499.4 100HRJAnnuaiinspection Completed

011 drained and oil filter cut open. no contamination noted. replaced oil filter with Champion CH48108·1 filter and serviced engine with 8 qts of Aeroshell w-1 00. Installed oil quICk drain S6250, compression checked as follows 1,1168(2)6713)65(4)66(5)6916)70/80, replaced magnetos GHPN#6314.SN#03011883 R/H PN#6314 S/N#03011884, and timed to 24deg 8TC. repiaced fuel divided manifold bracket PN#646507, replaced fuel InJector line adel clamps PNIIMS21919WF27 (6) engine cleaned and operational check preformed, checked and found all AD's to have been CW thru this date, I certify that this ~ has been Inspected In accordance With a 1OOhr Inspection and was found to be In an airworthy condition, r...,.

5,25107 TT499.4 A&P#31 049 IA

___ ... _J l __L ._~ .. -----L... _ . __ . _._ ._._ .

1\!1iddle Keu§~AIRCRA~F'5ERVICE

6/25/07 N43097 H.M.505.4 Removed L H POSition magneto due to failure. replaced UH magneto Slick PN#6314. SiN#07011058. retimed magneto to engine, operational check ok, this aircraft ap for return

to service. ~/,~;;t 4 .

I\\;IJ~._lr-- ~·__-1_1

a

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i

Total TimeDate Time Since tjjgine Service and Maintenance Record Last Overhaul

1---,--+--==--=--;-:::..:...:..:..:=----1 Installations, Inspections, Airworthiness Directives, Special Inspections, Hrs. Min. Hrs. Min. Modifications and Service Bulletins

Brought FI

Middle Keu§~AIRCRA~F'5ERVICE

7/23/07 N43079 H.M.541.1 Oil drained and oil filter removed, oil filter cut open and no contamination noted, replaced oil filter with Champion CH48108·1 oil filter and serviced engine with 8 qts of Aeroshell15W·50 engine cleaned and operational check perf~rmed.V/#3104910.

.~ ?/./ . -~ ~

I

Nliddle Keu§~ AIRCRAF]F'5ERVICE

E 9/17/07 N43097 H.M.579.4 Oil drained and oil filter removed, cut oil filter open and no contamination noted, replaced oil filter with Champion CH48108-1 hlter and 8 qts of Aeroshell - 00 oil, en' cleaned and operational check performed. ~ 0

Middle Keu§ ~ a::... AIRCR~~F'5ERVICE

3/18/08 N43097 H.M.627.4 Oil drained and oil filter removed, replaced oil filter with Champion CH481 08·1 oil filter and service engine with 8 qts of Aeroshell W·1 00, cleaned and gapped spark plugs, removed injectors and cleaned, re-installed, engine cleaned and operational ~~#3104910

i\tliddle Keu§~AIRCRA~?5ERVICE

5/29/08 N43097 H.M.657.8 T.T.S.N.657.8 100HRlAnnuai inspection completed

Oil drained and oil sample taken, removed oil filter and cut open no contamination noted, replaced oil filter with Champion CH481 08-1 filter and service engine with 7 qts of Aeroshell W·1 00, compression checked as follows (1 )64(2)61 (3)7094)64(5)66(6)65/80, replaced all fuel injector nozzles with rCM tuned nozzles PN#632147A9 performed reM fuel system set-up SID 97-30, Engine cleaned and operational check performed, I certify that this engine has been Inspected In accordance with a 100HR inspection and was determined to be In an airworthy condition.L

-5/29/08 T.T.6~~~I

-

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Total Time I Date Time Since Engine ServIce and Maintenance Record

Last Overhaul f-----r---+~c:..:....::..,:...=.:..:..:..::.::.:........j Installations, Inspt ctiollS, Airworthiness Directives, Special Inspections,

Min. Hrs. Min. Modifications and~~vice Bulletins i Brought Forw, I

'-. ~ East LDast. ~AVIATION SERVICE,

INC.

~.

I 07/09/09 N43097 H.M.777.3 T.T.777.3 T.S.N.777.3 100HRJAnnuai inspection completedr= -Inspected this engine In accordance with FAR 43 Appendix D. oil drained and 011 sample taken. removed oil filter and

cut open no contamination noted, replaced 011 filter with Champion CH481 08·1 and serviced engine with 8 qts of -Aeroshell 15W-50, Compression check as follows. (1) 64 (2)68 (3)66 (4)68 (5) 64 (6) 68/80, engine cleaned and

-operational check performed, checked and found all AD's to have been crw thru this date, I certify this engine to have

I been Inspected In accordance with a 100HR Inspection and was determined to be in airworthy condltl ~/ -07/07/09 T.~# 101.A.

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PROPELLER MAINTENANCE RECORD

Position _J PITCH RANGE

Propeller Model fjj--Js_~J:;;Y£--j13,- __ HighlFeather _

Propeller SIN _g F 3 c/ 713 __ Start Lock

Blade Design _ F ZL. '-/ '-I Low __~

Blade SIN's Reverse _

NO.1 J')w'j0Y

NO.2 -j'!.wLfGS Aircraft Manufacturer C'I~rl.-1 ~ -.DC)/O/)r --

NO.3 _ Aircraft Model 5!<,}.o"--__

NO.4 SIN /3~

NO.5 ----- Registration C - G Y Z £

NO.6 --------- ----- -- --~

Spinner Assembly Part No. 11]'-1](;; -lei

Description of all operations pertaining to Airworthiness Directives. Date

Propeller Ale Service Documents, Overhaul, Major or Minor Repair, and Inspections,HrsTSN TSO

I' , .. 1 :: ! i f 'i'e.) ',. I, .,. ~ AIRCRAFT·····SERVllT

T,T,193.7 N43097 H,M193.74/28/2005 100hr/Annuaiinspection Completed -

('he~keri a"'ri f"uno' al; A\D'C ,,, ha"e h0r,,'i crw thru tnis date i certij", that tnis propeller h8:.3 bec;,VI'v U IIUIV II VlUlt ... vet l .'

-inspected in accordance with an 1DDhr inspection and has been determined to be In an airworthy

condition, -4/28/2005 _~TO·T A&P262858070193?/

. __ -7 /./ ~.. ./'

~ ~

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~

I I

Middle Ke!=J.§~AIRCRA~ SERVICE

5/5/06 N43097 H.M.3204 1.T.320.4 100hr/Annuai inspection completed

checked and found all AD's to have been CNJ thru this date, I certify that thiS ropeller has been Inspected In accordance with a 1OOhr Inspection and was determined to be i ai condition.

5/05/2006 ~2Dk ~1649101A -,

I I

Middle Ke!=l.s -~AIRCRA~ SERVICE -

5/25/07 N43097 H,M.499.4 T.T.499.4 SPOH 499.4 -

1OOHRlAnnuallnspection Completed -Checked and found all AD's to have been CM thru this date, I certify that thiS propelle s been Inspected In

accordance with a 1OOhr Inspection and was found to be in an alrw~condi~~,e::~,/' -5/25/07 T,T~~,A,

I I Paae 1

Pre Date

TSN ,.;\;liddle Ke#!i ~AIRCRA~ SERVICE

5/29/08 N43097 H.M.657.8 T.T.S.N.657.8 100HR/Annual inspection completed

Checked and found all AD's to have been C/'N thru this date, I certify that this propeller has been Inspected in accordance with a 1OOHA inspection and was determined to be in an airworthy condit~.

5/29/08 T.T.6~ij 10l.A .~/~

I I I

'..~ East CDast ~A VIA TlDN 5ERVICE.

o INC

j

07/09/09 N43097 H.M.777.3 T.T.777.3 T.T.S.N.777.3 1OOHRlannual inspection completed

Inspected this propeller in accordance With Far 43 Appendix 0, checked and found all AD's to have been em thru this date, I certify this propeller to have been Inspected in accordan~ .h a 100HR inspection and was determined to be in an airwo~ .-c:

07/09/2009 T.T.l- .. ~~~,+9101.A.